Organization
GRESHAM THERAPEUTIC MASSAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HOARD (PRESIDENT)
(503) 492-3910
Entity
Organization
Contact information
Practice address
1217 NE BURNSIDE RD, SUITE 502, GRESHAM, OR 97030-6722
(503) 492-3910
Mailing address
1217 NE BURNSIDE RD, SUITE 502, GRESHAM, OR 97030-6722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/06/2007
Last updated
08/22/2020
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